Bone-Graft Surgery

Cover Bone-Graft Surgery
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" Operative procedure has proved advantageous in properly selected adult cases, while in childhood it has been very bad practice. In the adult there exists a full development of bone and joint structure, and therefore excessive shortening from interference with the epiphyses is eliminated. In long-standing cases angular deformity, resisting correction by the usual con- servative measures, is readily remedied, and firm bony union between femur and tibia is the result. Formerly, excision of the k...nee was undertaken with the primary object of the removal of all the tuberculous tissues, and the production of an ankylosis was considered of secondary importance. This led to excessive removal of bone, with shortening ; to the lessening of the diame- ters of the opposed ends of the femur and tibia on account of the bone incisions being made above the expansions of the femoral condyles and below the tibial head; to prevention of the approximation of the incised bone end surfaces resulting often in non-union ; and to the constant liability of not removing all tuberculous tissues.

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